Dr Ebon Anthony Bourne, MD | |
4550 Cobb Parkway North Nw, Suite 205, Acworth, GA 30101-4143 | |
(770) 917-8160 | |
(770) 529-1167 |
Full Name | Dr Ebon Anthony Bourne |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 4550 Cobb Parkway North Nw, Acworth, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225178825 | NPI | - | NPPES |
265092400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME84326 (Florida) | Secondary |
207R00000X | Internal Medicine | 068373 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Home Health, Llc | Marietta, GA | Home health agency |
Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
Guardian Home Care, Llc | Roswell, GA | Home health agency |
Kindred At Home | Marietta, GA | Home health agency |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Ebon Anthony Bourne, MD 4550 Cobb Parkway North Nw, Suite 205, Acworth, GA 30101-4143 Ph: (770) 917-8160 | Dr Ebon Anthony Bourne, MD 4550 Cobb Parkway North Nw, Suite 205, Acworth, GA 30101-4143 Ph: (770) 917-8160 |
Dr. Chinedu Patrick Nweke, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4450 Calibre Xing Nw Ste 1126, Acworth, GA 30101 Phone: 470-227-8130 Fax: 470-747-7588 | |
Dr. Joshua Foromera, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4550 Cobb Parkway North Nw Ste 210b, Acworth, GA 30101 Phone: 470-267-1760 | |
Dr. Carroll G Odem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6380 Bells Ferry Rd Ste 107, Acworth, GA 30102 Phone: 404-989-7384 Fax: 855-604-0965 | |
Bhawna Khanna, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Cobb Parkway Nw, Suite 601, Acworth, GA 30101 Phone: 770-874-7623 Fax: 770-874-7627 | |
Dr. May Amanukpo Robinson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1862 Hickory Creek Ct Nw, Acworth, GA 30102 Phone: 404-579-3999 | |
Dr. Milicent Eva Young, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4550 Cobb Parkway North Nw Ste 201a, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-7534 |